Enrollment via the CMS Web site is only for plans that include prescription drug coverage. If you are enrolling in a plan that DOES NOT include prescription coverage, you may: 

• Enroll online through HAP’s Web site or
• Fill out a paper enrollment form and return it to HAP

To enroll in a plan that includes prescription drug coverage, please perform the steps below.

1. Print this page so that you may use it as a guide after you have determined from our materials:
   1. The type of coverage you want (by plan name)
   2. The level of prescription drug coverage you need. The choices are:
      1. HAP Senior Plus HMO has Basic or Enhanced drug coverage
      2. Alliance Medicare PPO has Basic or Enhanced drug coverage
      3. Alliance Medicare Rx has Basic, Value or Enhanced plan drug coverage.
2. Begin enrollment by clicking on the following link: Centers for Medicare and Medicaid Services online enrollment center or visiting http://www.medicare.gov/.
3. Enter your zip code.
4. Enter the name of the plan you wish to enroll in as shown below:
   1. HAP Senior Plus
   2. Alliance Medicare PPO
   3. Alliance Medicare Rx
5. Scroll down on the page to view all possible plans.
   1. Please note that the Web site page only displays the monthly drug premium. The total monthly premium will include both the monthly drug premium plus your monthly health premium.
6. To view the details of the plan you are interested in, select the “Enroll Now” button on the row that corresponds to the plan you wish to enroll in:
   1. Select “No gap” coverage for Basic Drug Coverage
   2. Select “No gap” coverage for Value Plan Drug Coverage (PDP Only)
   3. Select “Generics” for Enhanced Drug Coverage
7. Verify that you have selected the plan of your choice:
   1. If no, select the “Back” button on the bottom of the page.
      1. Repeat steps 4 through 6.
   2. If yes, select “Continue to Enrollment”.
8. Follow the directions for completing and submitting the enrollment form